Shane K Wisehart, DC in Los Alamos, NM - Medicare Chiropractic Provider

Shane K Wisehart, DC is a medicare enrolled "Chiropractor" provider in Los Alamos, New Mexico. He graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Chiropractic. His current practice location is 35 Bonnie View Dr, Ste 3, Los Alamos, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 672-9774.

Shane K Wisehart is licensed to practice in New Mexico (license number 1186) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1649385980.

Contact Information

	Shane K Wisehart, DC
	35 Bonnie View Dr, Ste 3, Los Alamos, NM 87547-3737
	(505) 672-9774
	Not Available

Healthcare Provider's Profile

Full Name	Shane K Wisehart
Gender	Male
Speciality	Chiropractic
Experience	33 Years
Location	35 Bonnie View Dr, Los Alamos, New Mexico
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shane K Wisehart graduated from medical school in 1991

NPI Data:

NPI Number: 1649385980
Provider Enumeration Date: 08/19/2006
Last Update Date: 02/08/2017

Medicare PECOS Information:

PECOS PAC ID: 3870775737
Enrollment ID: I20110314000753

Medical Identifiers

Medical identifiers for Shane K Wisehart such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649385980	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	1186 (New Mexico)	Primary
111N00000X	Chiropractor	5885 (Texas)	Secondary
111N00000X	Chiropractor	2943171202 (Utah)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shane K Wisehart is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shane K Wisehart, DC 35 Bonnie View Dr, Ste 3, Los Alamos, NM 87547-3737 Ph: (505) 672-9774	Shane K Wisehart, DC 35 Bonnie View Dr, Ste 3, Los Alamos, NM 87547-3737 Ph: (505) 672-9774

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Shane K Wisehart, DC - Medicare Chiropractor in Los Alamos, NM